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Responsible for performing safe and effective cardiac stress tests (i.e.,...

Centene Corp. in California seeks a remote nurse reviewer to handle medical necessity grievances, appeals and denials. The role requires CA RN/LPN/LVN licensure and 2+ years of clinical nursing experience, with NCQA and InterQual knowledge...

Your Health seeks an experienced Registered Nurse to provide telephone-based clinical triage for patients in our growing primary care practice. The RN will assess symptoms remotely, determine appropriate level and urgency of care using...

A technology and business consulting firm is seeking a Clinical Medical Review Nurse to analyze health data and provide insights for internal stakeholders. The ideal candidate has a Registered Nurse license, along with four years of clinical...

RN/NP Clinical Quality Reviewer Primary Care, Acute Symptom Triage & Travel Health | Contract, up to 25 hrs/week About the Role We are seeking Nurses & Nurse Practitioners with clinical experience in one or more of the...

Comagine Health is seeking an experienced Registered Nurse to transition into a remote Clinical Reviewer role supporting the Washington L&I contract. The role focuses on evaluating medical necessity, appropriateness, and quality of healthcare...

The Arc Chemung-Schuyler is seeking a Registered Nurse (RN) to provide nursing oversight and health-related support for individuals receiving services. This role focuses on promoting health, coordinating medical care, and ensuring quality services...

Elevance Health, Inc. invites applications for a Medical Management Clinician Associate working primarily in a virtual capacity. The role requires an active RN/LPN license and at least 2 years of clinical or utilization review experience, with...

Saint Alphonsus Health System is seeking a Peer Review Coordinator to manage data collection, analysis, and reporting for performance improvement and physician peer reviews. You will coordinate with Medical Staff Office and Risk Management while...

Collaborative Practice Nurse (CPN) Blue Ridge Cancer Care is seeking an experienced and highly motivated Collaborative Practice Nurse (CPN) to support oncology patients across the continuum of care. The CPN serves as a clinical resource...

SCAN Health Plan Job OpportunityFounded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists...

Clinical Nurse III - Urology Clinic Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope's growing...

The Clinical Research Nurse (CRN) will provide direct patient care to patients enrolled in or considering a clinical trial. The CRN, in collaboration with the satellite physician(s), is responsible for the implementation and evaluation of clinical...

Nursing AttendantPrimary Location Harbor City, California Facility Name South Bay Medical Center Employee Status: Regular Worker Location: Onsite Schedule Part-time Scheduled Weekly Hours: 24 Shift Night Salary $25.57 - $27.74 / hour Job Number...

Job Opportunity Title RN Date Opened 03/18/2026 Job Type Local/Travel Contract Industry Health Care Work Experience 1+ year City Northridge State/Province California Country United States...

UnitedHealthcare is seeking a registered nurse to provide guidance and education as part of a new program, acting as a frontline clinical resource for members across the continuum of care. The role emphasizes customer service with a nursing...

Intermountain Health's St. Marys Regional Hospital seeks an RN Utilization Review Care Management I to perform utilization review screenings, assessments, and evaluations, focusing on cost-effective, high-quality care. The role involves...

Nurse - Clinical Review The Clinical Review Nurse makes prospective medical necessity determinations on prior authorization requests for HealthHelp's specialty programs, including Diagnostic Imaging, Cardiology, Musculoskeletal, Physical...

Prime Staffing is seeking a travel nurse RN Infusion for a travel nursing job in West Hollywood, California. Job Description & RequirementsSpecialty:...

Nursing Assistant PositionUnder the direction of a Registered or Licensed Vocational Nurse, provides basic nursing care and implements selected aspects of the patients nursing plan of care.This position requires providing care/service to an...

TriHealth is seeking a Utilization Nurse to evaluate medical necessity and ensure care is delivered at the appropriate level in collaboration with physicians, care management, and payers. The role requires RN licensure, 3–4 years of...

Job Description Summary of Essential Functions Responsible for routine and emergency care on all patients while they are in the Cardiology Department. Assist in maintaining professional standards of...

Find your calling at Mercy! Under the direction of the primary care operations team, the Primary Care Nurse works directly with Mercy Primary Care Providers to provide safe, timely, effective, efficient, equitable, patient-centered care in a...

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to start a rewarding career path in the healthcare...

Who We Are Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard...